DWI及动态增强MRI定量检测在前列腺癌诊断中的应用

    The application value of the quantitative detection of diffusion weighted imaging and dynamic contrast-enhanced MRI in the diagnosis of prostate cancer

    • 摘要: 目的:探讨弥散加权成像(DWI)和动态增强MRI(DCE-MRI)定量检测在前列腺良恶性病变鉴别诊断中的价值。方法:回顾性分析15例前列腺DWI和DKtransCE-MRI定量参数,包括表观扩散系数(ADC)、容积转运常数Ktrans、回流速率常数kep、血管外细胞外间隙体积比(ve)值。并运用SPSS进行统计学分析。结果:前列腺癌癌灶和增生灶的ADC、Ktranskep值分别为(1.21±0.26)mm2/s和(0.83±0.32)mm2/s、(0.45±0.22)min-1和(0.17±0.08)min-1、(0.95±0.44)min-1和(0.49±0.26)min-1,差异均有统计学意义(P<0.01)。结论:ADC、Ktranskep值在前列腺良恶性病变中存在显著不同,DWI和DCE-MRI定量评估对前列腺良恶性病变的鉴别具有一定的价值。

       

      Abstract: Objective: To explore the value of quantitative detection of diffusion weighted imaging(DWI) and dynamic contrast-enhanced MRI(DCE-MRI) in the differentiation diagnosis of malignant and benign lesions of prostate.Methods: The quantitative parameters of DWI and DCE-MRI in 15 cases with prostate cancer were retrospectively analyzed.The quantitative parameters included the ADC,Ktrans,kep and ve,and which was statistically analyzed by SPSS.Results: The values of the ADC,Ktrans and kep in malignant lesion and benign lesion of prostate were (1.21±0.26) mm2/s and (0.83±0.32)mm2/s,(0.45±0.22)min-1 and (0.17±0.08)min-1,and(0.95±0.44) min-1 and (0.49±0.26)min-1,respectively,the difference of which was statistically significant(P<0.01).Conclusions: The values of the ADC,Ktrans and kep between malignant lesion and benign lesion of prostate are different,and the quantitative assessment of DWI and DCE-MRI has certain value in the differentiation diagnosis of malignant lesion and benign lesion of prostate.

       

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